| NPI | 1396163002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 8696808-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-925) |
| 1041C0700X Social Worker, Clinical (Licence: AK 113051) | |
| 1041C0700X Social Worker, Clinical (Licence: ID LCSW-36030) | |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2022-02-23 |